Início A importância do fortalecimento da musculatura respiratória em pacientes com insuficiência cardíaca
Número atual: 9 (2022)
Efeitos adversos decorrentes da terapia prolongada com corticosteroides
Resumo:
INTRODUCTION: Corticosteroids, cortisol derivative drugs, are commonly used to treat inflamatory, alergic, immunologic and oncologic diseases. Besides their benefits, they have to be carefully used because these medicine appears associated with umpteen side effects – some of then are severe and another ones are aesthetically undesirable. REVIEW: This bibliographic review shows the main side effects associated whit corticosteroid therapy. DISCUSSION: Osteoporosis, hyperglycemia, dyslipidemia, infections, cardiovascular diseases, Cushing syndrome, immunosuppression and psychiatric disorders are the most severe side effects related with systemic, prolonged or high dosage corticosteroid therapy. FINAL REMARKS: Corticosteroids are resorted to treat a huge number of health conditions. Thereat, it is necessary to recognize and comprehen all of their side effects so they can be wariness and properly prescribed.
Keywords: Side effects, Corticosteoids, Corticosteroid therapy, Adrenal supression, Cushing syndrome, hyperglycemia, osteoporosis.
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Desafios do enfermeiro no atendimento à gestante adolescente com ações educativas na estratégia da saúde da família
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INTRODUCTION: Teenage pregnancy represents a social phenomenon, even with the amount of information on health education. OBJECTIVE: to identify the challenges faced by nurses in care in the ESF to promote educational actions for pregnant adolescents. REVIEW: an integrative review, based on studies published in the Virtual Health Database. DISCUSSION: Adolescents have little information and are not psychologically prepared for the entire prenatal process, however teenage pregnancy is accompanied by many consequences, for this needs to be monitored. The professional's unpreparedness, the differences in the work environment and the lack of resources are the main challenges faced by the demand. FINAL CONSIDERATIONS: The results found showed the challenges of nurses and their association with teenage pregnancy. However, the challenges need to be further studied and researched more widely. From this perspective, it is important to promote concrete proposals on educational actions that talk about sexuality, family planning and basic rights for pregnant adolescents.
Keywords: Nurse's Challenges; Adolescent Pregnancy; Health Education; Family Health Strategy.
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Sobrevivência e fatores prognósticos no osteossarcoma: experiência de 11 anos de Hospital de Câncer Paraibano
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The objective was to analyze the clinical and sociodemographic profile that influenced the survival of patients with Osteosarcoma in the period from 2010 to 2021 in a regional cancer hospital, serving to contribute with regional and national data for a greater understanding of this disease. Methods Retrospective, observational and analytical cohort study. Quantitative approach, analysis of medical records of patients diagnosed with Osteosarcoma treated at a philanthropic hospital from 2010 to 2021, building survival regression models to identify predictors with statistical significance. Results Sixty-three medical records were evaluated, 63.3% male and 63.5% younger than 20 years old. Cox regression model obtained significance better than no predictor, [X2(1) = 17.137; p<0.01]. The predictors that were significant were: serum alkaline phosphatase levels at the first consultation (HR= 1.003; 95%CI= 1.001 – 1.004) and the presence of pulmonary metastasis (HR= 4.927; 95%CI= 1.756 – 13.825). Survival rate after the Cox model showed that in 5 years, patients with pulmonary metastasis have a survival rate of around 48%.
Keywords: : Osteosarcoma; Bone neoplasms; Logistic regression; Cox model.
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Efeitos da laserterapia de baixa intensidade como adjuvante no tratamento de lesão lacero contusa – Relato de Caso
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INTRODUCTION: Oral injuries of patients in Intensive Care Units (ICU) are recurrent, trauma to orotracheal intubation, tube fixation position and/or excessive pressure on the tissues are well established etiological factors, and may increase the length of stay and facilitate the proliferation of infectious processes, directly impacting on hospitalization costs and outcome of the grievance. OBJECTIVE: To report a multidisciplinary treatment of blunt lacerous trauma to the tongue with the integration of photobiomodulation tissue with low power laser. CASE REPORT: A 23 year old male patient, admitted to the Intensive Care Unit, victim of multiple traumas with evolution to an extensive ulcerated lesion with areas of granulation tissue in the lower lip, extending to the internal labial mucosa, of hardened consistency and significant depth, in addition to a traumatic injury with a lacerocontusion aspect in the dorsum and belly of the tongue, treated multidisciplinary through a prototype of mouth opening maintainer and reconstructive surgery by the oral and maxillofacial team. CONCLUSION: This report demonstrated some possibilities of treatment of a traumatic injury, and its management is still a great clinical/surgical challenge in dentistry and especially for patients in intensive care units (ICU`S) and that the interdisciplinary associated with integrative therapies impact positively on the final outcome.
Keywords: Laser Therapy, Treatment, multidisciplinarity, Dentistry.
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A clínica psicanalítica do transtorno do espectro autista
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INTRODUCTION: This research consists of a narrative literature review (RNL), in Brazilian bibliographical productions, with the objective of raising the diagnostic criteria, describing the etiology and the framework of the psychoanalytic orientation for autism, currently conceptualized as Autistic Spectrum Disorder (ASD), in Brazilian bibliographical productions, with the objective of raising the diagnostic criteria, describing the etiology and the main forms of psychoanalytic treatment for the Autism Spectrum Disorder. REVIEW: 3 databases were consulted BVS (Virtual Health Library), LILACS and GOOGLE SCHOLAR, 9 articles and a book were selected to compose the study sample. The criterion for choosing the material consisted of objectively addressing the applicability of the psychoanalytic approach as a treatment tool. DISCUSSION: Evidence demonstrates the breadth of analytical school techniques that favor the establishment of bonding, social interaction, and restore drive articulation. FINAL CONSIDERATIONS: As a result of the research, it is concluded that the psychoanalytic clinic is committed to going beyond the spectral approach, addressing the autistic child as a subject, and not as an object to be normalized.
Keywords: clinic, psychoanalysis, autistic spectrum disorder.
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Mucosite oral – Terapia Antineoplásica
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INTRODUCTION: Oral cancer are malignant neoplasms that begin in the epithelium lining the mouth by the disorderly multiplication of defective or atypical cells, which cannot be completely eradicated by the immune system. Cancer treatments consist of eliminating neoplastic tissues through surgery, radiotherapy, chemotherapy or a combination of these three therapeutic modalities. However, the side effects caused by radio and chemotherapy are multiple, and among them oral mucositis stands out. REVIEW: Oral mucositis is characterized by inflammation of the soft tissues of the mouth (buccal and labial mucosa, floor of the mouth, ventral surface of the tongue and soft palate), observed in 40% of patients receiving chemotherapy, and in 8-10% of people undergoing radiotherapy. Its severity is determined by the type of radiation, the daily dose, the volume of irradiated tissue, the accumulated dose and the type, duration and dose of the medication used. And also, by extrinsic factors, such as alcohol abuse, poor oral hygiene and tobacco. DISCUSSION: Oral mucositis can be classified as: Grade 1 (asymptomatic or with mild symptoms, with no need for intervention); Grade 2 (moderate pain, a change in diet is indicated); Grade 3 (severe pain, patients unable to eat, requiring intervention); Grade 4 (life-threatening consequences requiring urgent intervention); Grade 5 (death). FINAL REMARKS: The treatment of oral mucositis consists of prevention and palliative care, which aim to alleviate pain and prevent the appearance of secondary infections. In other words, mouthwashes (sodium bicarbonate, saline solution 0.9%, chlorhexidine gluconate 0.12%, nystatin and palifermin); drugs (benzydamine hydrochloride and prostaglandins) and low-intensity laser, curative methods that have proven efficacy in the literature in the treatment of oral mucositis.
Keywords: Oral mucositis, malignant neoplasms, oncological treatment, oral cancer.
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Relato de caso: displasia ectodérmica anidrótica
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INTRODUCTION: Anhydrotic Ectodermal Dysplasia (ASD) is a rare genetic disease, with a sex ratio of 5 men to 1 woman. The typical manifestations are absence of sweat or sebaceous glands, changes in hair, nails and teeth. CASE REPORT: We present the case of a pregnant woman (G3P2C0A0) with a second child clinically affected by the disease and investigation of involvement in the fetus. DISCUSSION: ASD is a rare disease, prenatal care is of paramount importance for early diagnosis, as this way, it is possible to offer targeted treatment of the pathology from birth.
Keywords: anhydrotic ectodermal dysplasia, hypohidrotic ectodermal dysplasia, infantile hypodontia, infantile hypotrichosis, hyperthermia in newborns.
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Tumor maligno da bainha do nervo periférico mimetizando neoplasia ovariana primária: relato de caso
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INTRODUCTION: The malignant peripheral nerve sheath tumor (MPNST) is extremely rare and accounts for 5 to 10% of sarcoma cases. The clinical manifestations of MPNST include a growing painful mass. Symptoms are pain, paresthesia, neurological deficits, muscle weakness. CASE REPORT: We present the case of a woman with abdominal enlargement suspected of having primary ovarian neoplasm, who was later diagnosed with MPNST. DISCUSSION: The MPNST in the clinical case described, it is very rare due to the absence of risk factors. Its pelvic location makes the case even more atypical. MPNST it is a difficult neoplasm to diagnose, which explains the importance of case reports like this one about this clinical entity, in order to reduce the time of diagnosis and optimize the treatment.
Keywords: malignant peripheral nerve sheath tumor, sarcoma, soft-tissue.
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Situação da gestão de saúde da população brasileira durante a pandemia covid-19: Uma revisão integrativa
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INTRODUCTION: The challenges faced during the pandemic were even greater in Brazil, due to the precariousness of the public health systems, not to mention the combination of social disproportion, with precarious housing and sanitation conditions, where most of the population has inaccessible items basics like drinking water. OBJECTIVE: This work aims to carry out an integrative review on the impacts caused by the covid-19 pandemic on health management in Brazil. REVIEW AND DISCUSSION: The present study refers to an Integrative Literature Review (IRL), based on scientific evidence, 18 articles were examined that responded to the insertion and removal criteria inserted in its formulation. FINAL CONSIDERATIONS: All selected studies refer to the performance of management in the face of the covid-19 pandemic, and as managers and workers who actively acted on the front line, dealing with challenges and emerging situations, and what decision-making and preparing the SUS to deal with a pandemic. it was found that not one country in the world was prepared for a pandemic, but the way in which each government reacted to the situation in question was a reflection for others as an example, good or bad, in the case of Brazil, this reflection was bad, requiring even subnational measures so that there was urgency in the action plans to combat the pandemic, because they had to, not only fight COVID, but also maintain care for other diseases and treatments for patients, they had to support those who could not work, through a lockdown order that only did not cover essential services and that had to comply with security determinations.
Keywords: Covid-19, Management, Pandemic.
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A importância do programa de treinamento e desenvolvimento para a melhoria do bem-estar de colaboradores de instituições de ensino
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This article presents theoretical knowledge about the importance of the training and development program to improve the well-being of employees of educational institutions. Due to technological, economic and social changes, training and development are increasingly gaining ground in these environments, where there is a perception that this tool has potential for the continuous development of people, using it to improve the company and the well-being of employees. collaborators. The study presents a review of qualitative research with a bibliographic nature, the structure had a descriptive character where the survey of information of the authors that are in books, publications in journals of scientific articles, monographs, dissertations and theses on the subject was carried out. With the research it was possible to consider many relevant aspects during the construction of knowledge in postgraduate studies in Organizational and Work Psychology. The investigation of the proposed theme was carried out from academic/scientific platforms Scielo, Psicologia e Sociedade, FUMEC, UNESP using instruments such as periodical articles, dissertations, monographs and books. The review of articles is linked to the descriptors of Training and development, Growth with T & D, Benefits in T & D. The results show a critical and synchronic discussion about the importance of training and development to improve the well-being of employees of educational institutions. Based on scientific evidence, it is understood that it is necessary to deepen knowledge, there is no intention of exhausting the discussion on the subject, but of expanding society's view of this fact, being able to investigate the importance of the training and development program for the improvement of the good -being of employees of educational institutions.
Keywords: Training and development, Growth with T & D, Benefits in T&D.
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